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Status epilepticus (SE), or status seizure, is a medical condition consisting of a single seizure lasting more than 5 minutes, or 2 or more seizures within a 5-minute period without the person returning to normal between them. [3] [1] Previous definitions used a 30-minute time limit. [2]
Following a person's first seizure, they are legally not allowed to drive until they are seizure-free for a period of time. [3] This period of time varies between states, but is usually between 6 and 12 months. [3] [7] They are also cautioned against working at heights and swimming alone in case a seizure occurs. [3]
Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. [10] An epileptic seizure is the clinical manifestation of an abnormal, excessive, and synchronized electrical discharge in the neurons. [1]
The epileptic seizure in the vast majority of pediatric epilepsy patients is ephemeral, and symptoms typically subside on their own after the seizure comes to an end, but some children experience what is known as a “seizure cluster," in which the first seizure is followed by a second episode approximately six hours later.
A provoked (or an un-provoked, or an idiopathic) seizure must generally occur twice before a person is diagnosed with epilepsy. When used on its own, the term seizure usually refers to an epileptic seizure. The lay use of this word can also include sudden attacks of illness, loss of control, spasm or stroke. [4]
The majority of patients (58.2%) have frequent myoclonic jerks, [13] with some sources stating that all patients with JME have myoclonic seizures. [10] Generalized tonic–clonic seizures are less common [13] but still reported in 85–90%. [10] Absence seizures are believed to be least common, with an estimated prevalence between 10% and 40%.
In 2015 epilepsy was present in about 1.3% of the population of the United States, approximately 3 million adults and 470,000 children. [13] Reflex epilepsy is found in approximately 5% of people who have epilepsy. [3] Photosensitive epilepsy is the most common type of reflex epilepsy, accounting for 75-80% of cases. [3]
Earlier age of seizure onset is correlated with a higher risk of cognitive impairment. Progressive myoclonus epilepsy (PME) is a group of diseases characterized by myoclonus, epileptic seizures, tonic–clonic seizures, and other serious symptoms such as trouble walking or speaking. These rare disorders often get worse over time and can be fatal.
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